& Payment Policies
Method of Payment,
Preventative and Physical Exams),
goal at Acute Family Medicine Clinic, Inc is to deliver the best healthcare
in our community to as many people as possible, regardless of their
financial or insurance situation, and yet remain viable as a clinic. Our
greatest concern is that the current
Medicare Crisis has resulted in a
Medicare reimbursement rate that is less than the cost for us to deliver
healthcare for Medicare patients.
January 1, 2006, Acute Family Medicine Clinic, Inc.
will "Opt Out" of the Medicare network and no longer be
accepting Medicare assignment.. See our
Medicare Private Contract here.
September 1, 2012, Acute Family Medicine Clinic, Inc.
will "Opt Out" of the Medicaid network and no longer be
reserve the right to change our payment policy and insurance policy in the
future, if necessary. We reserve the right to stop accepting new patients.
We reserve the right to stop accepting particular insurance or payment forms
in the future. There may be special situations, requirements, terms or
qualifications regarding insurance companies, coverage or policies other
than those specified herein.
accept payment from most major insurance policies (contact our receptionist
or billing manager at 907 622-4325 for up-to-date information). Private
Insurance is a contract between you and your insurance company. Your bill
for your medical care at AFMCI is an independent agreement between you and
AFMCI. You are responsible for full payment of your account, regardless of
the status of your insurance claim. We will not become involved in disputes
between you and your insurance company regarding deductibles, co-payments,
covered charges, secondary insurance, "usual and customary" charges, delays
in payment, etc., other than to supply factual information as necessary.
will file insurance claims for some insurance policies. You will need to
furnish the clinic with the necessary information. Please bring your
insurance card with you each time you visit the clinic.
Payment is due at time of service for self-paying patients. Insurance co-pay
and payment for non-covered procedures (such as certain preventative,
procedural, or surgical visits as expressed in your insurance company
information) are also expected in full at the time of service. For
simplicity and for your convenience, we have elected to collect co-pays
immediately after the visit. Please be prepared to pay at the time of
service. If you are unable to pay, please notify our staff in advance of the
time of service. We reserve the right to demand full payment at time of
service if we are unable to verify insurance benefits at the time of service
or no insurance coverage exists.
very concerned about health care costs. Our fees for services are based on
research and comparison with other area medical practices. We make every
effort to ensure that our rates are reasonable and competitive.
accept cash, personal checks, Visa and MasterCard for payments.
Patients who do not have insurance and pay in full at time of service with
CASH will receive a 10% discount. This discount does not apply for credit
card payments, personal check payments, school physicals, injections, or
Personal balances older than 30 days will incur a finance charge of 1.5% per
staff will work with you in setting up payment arrangements. However, for
patients who do not fulfill their obligations, their accounts will be
referred to a collection agency. Once an unpaid balance is placed with a
collection agency, the account must be settled through the collection agency
office. In addition, all costs, fees, and other related expenses of the
collection efforts by the collection agency would be borne by the
Returned Check Service Fee Policy:
A service charge, to the maximum extent allowed by law, will
be assessed when checks fail to clear the bank on which drawn.
Preventative and Physical Exams
Periodic Health and Preventative Examinations and
Immunizations. Some insurance companies routinely do not
cover preventative codes. It is your responsibility to determine if your
insurance carrier covers such visits, and to make alternative pay
arrangements if not covered.
Family Medicine Clinic, Inc does not bill for liability or lawsuit or auto
accidents for various reasons. We do not accept liens. You are responsible
for cash or credit card payment at the time of service.
Work-related injuries require reporting to your employer and
pre-authorization from your worker’s compensation insurance carrier prior to